Telephone Reference Check Form

Personal Information Protection

At Randstad Canada, we know that confidentiality of personal information is important. Any personal information you
provide to us will be kept in a candidate file and access will be limited as per our internal privacy and security
policies. If you have any concerns regarding the acquisition of personal information through references, please
inform us now.

Candidate has provided their consent for Randstad Canada to check the references provided and use
the information acquired in the selection process:

Obtained via: email voicemail verbal in person verbal over the phone
Date:

Note:
It is very important to listen carefully when conducting a reference check. Questions should be formulated to
clarify comments or to pursue an area introduced by the person. Often, what is not said is more important than
what is said. Listen for lack of positive descriptive words when describing the applicant, how the work is done and
the applicant’s relationship with others.

Date:

1. Name of Applicant:

2. Company called: Phone #:

3. Person Contacted: Title:

4. Relationship to Applicant:

5. Verify the Following Information:

a. Position/Title:
b. Primary Responsibilities/Duties:
c. Dates of Employment or time worked with individual:

1.How would you describe the quality of his/her work?

2.Describe the impact that he/she had on your organization. (any specific accomplishments or
achievements)

3.How would you describe his/her communication skills? (both verbal and written)
4.How does he/she respond to pressure and stress? (e.g., from high volume, deadlines, multiple tasks,
public contact)

5.How would you describe his/her personality?

6.How did he/she get along with other people? (e.g., clients, co-workers, supervisors)

7.How did he/she respond to criticism/interpersonal conflict?

8.What are his/her strongest skills as an employee?

9.What areas of his/her performance needed improvement?

10. How would you describe his/her work ethic? (time management, organization, punctuality, )

11. Would you recommend this person for hire?

Yes No

12. Would you rehire him/her at the same level?

13. Yes No

14. What advice/concerns would you give his/her next potential manager?